Individual
MS. PAMELA LACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3042 ELM AVE, PARKER, CO 80134-9411
(303) 478-8950
(303) 841-7207
Mailing address
17 BURGUNDY LN, HIGHLANDS RANCH, CO 80126-8614
(303) 263-3085
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0002632
CO
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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